Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kevin James Shefferly, MMSINPASTUDIES

Individual provider Physician Assistant · NPI 1184100901

Kevin James Shefferly, MMSINPASTUDIES is a Physician Assistant in Winston Salem, North Carolina. Qualified in 2018, 8 years ago. Practices with Piedmont Ear, Nose and Throat Associates, PA, a 28-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
8
Licensed in
NC
In the registry since
2018
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Practice location Address checks out

110 Charlois Blvd
Winston Salem, NC 27103-1522
Phone: (336) 768-3361
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Medical Center Blvd, Winston Salem, NC 27157-0001 — (336) 716-2011

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-08249 (NC)

Record details

NPI number1184100901
Entity typeIndividual (Type 1)
GenderMale
Credentials MMSINPASTUDIES
Sole proprietorNo
NPI enumeratedJuly 15, 2018
Last updated in NPPESJuly 27, 2026
Certification dateJuly 27, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Piedmont Ear, Nose And Throat Associates, P.A. — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Winston Salem